Cost of pelvic organ prolapse surgery in the United States
Cost of pelvic organ prolapse surgery in the United States
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DOI：
10.1016/s0029-7844(01)01472-7
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发表时间：
2001-10-01
影响因子：
7.2
通讯作者：
Brown, JS
中科院分区：
文献类型：
--
作者：
Subak, LL;Waetjen, LE;Brown, JS
目的：估计美国骨盆器官脱垂手术每年给社会带来的直接成本。方法：我们将1997年全国出院调查中确定的盆腔器官脱垂手术的数量乘以全国平均医疗保险医生服务和住院费用报销。虽然这种补偿不估计实际成本，但它是成本的代表，它估计了社会为这些程序支付的费用。结果：1997年，盆腔器官脱垂手术的直接费用为10.12亿美元（95%可信区间[CI] 7.75 - 1.251亿美元），其中阴道子宫切除术4.94亿美元（49%），膀胱和直肠前突修复2.79亿美元（28%），腹部子宫切除术1.35亿美元（13%）。医生服务费用占总费用的29%（2.98亿美元），住院费用占71%（7.14亿美元）。21%的盆腔器官脱垂手术包括尿失禁手术（2.18亿美元）。如果所有手术都由非医疗保险来源报销，每年的估计成本将增加52%，达到1.543亿美元。结论：盆腔器官脱垂手术每年的直接费用是巨大的。(C) 2001年由美国妇产科医师学会发布。)
OBJECTIVE: To estimate the annual direct cost to society of pelvic organ prolapse operations in the United States.METHODS: We multiplied the number of pelvic organ prolapse operations identified in the 1997 National Hospital Discharge Survey by national average Medicare reimbursement for physician services and hospitalizations. Although this reimbursement does not estimate the actual cost, it is a proxy for cost, which estimates what society pays for the procedures.RESULTS: In 1997, direct costs of pelvic organ prolapse surgery were $1012 million (95% confidence interval [CI] $775, 1251 million), including $494 million (49%) for vaginal hysterectomy, $279 million (28%) for cystocele and rectocele repair, and $135 million (13%) for abdominal hysterectomy. Physician services accounted for 29% ($298 million) of total costs, and hospitalization accounted for 71% ($714 million). Twenty-one percent of pelvic organ prolapse operations included urinary incontinence procedures ($218 million). If all operations were reimbursed by non-Medicare sources, the annual estimated cost would increase by 52% to $1543 million.CONCLUSION: The annual direct costs of operations for pelvic organ prolapse are substantial. (C) 2001 by the American College of Obstetricians and Gynecologists.)